HESI
mid
curricular
review
Primary
health
promotion
-
ANS
Promoting
health
ex:
immunizations
Secondly
health
promotion
-
ANS
Screening
and
treatment
Tertiary
health
promotion
-
ANS
After
treatment,
rehabilitating
Maslows
-
ANS
1.
physical
2.
safety
3.
love
and
belonging
4.
self
esteem
5.
self
actualization
Erikson's
stages
-
ANS
Trust
vs.
mistrust
(infant
to
18
months)
Autonomy
vs.
shame
and
doubt
(18
months-3
yrs)
Initiative
vs.
guilt
(3-5yrs)
Industry
vs.
inferiority
(5-13yrs)
Identity
vs.
role
confusion
(13-21)
Intimacy
vs.
isolation
(21-39)
Generatively
vs.
stagnation
(40-65)
Ego
integrity
vs.
despair
(65+)
SMART
-
ANS
-Outcomes
-Specific
-Measurable
-Achievable
-Relevant
-Timely
Diffusion
-
ANS
-Movement
of
particles
along
concentration
gradient
-High
to
low
Active
transport
-
ANS
-Movement
of
solutes
from
low
to
high
-Requires
energy
Osmotic
pressure
-
ANS
-Occurs
in
veins
-Pulling
pressure
-Albumin
pulls
fluid
from
interstitial
space
back
into
capillaries
-Pts
with
liver
issues
have
problems
with
this
Hydrostatic
pressure
-
ANS
-Occurs
in
arteries -Pushing
pressure
-Pushes
fluids
and
solutes
through
capillary
walls
to
interstitium
-Pts
with
heart
issues
have
problems
with
this
Dehydration
-
ANS
-Loss
of
water
alone
Fluid
volume
deficit
-
ANS
-Loss
of
water
and
Na
Labs
of
FVD
-
ANS
-Increased:
H&H,
serum
and
urine
specific
gravity,
BUN
and
creatinine
VS:
Decreased
BP,
increased
pulse
FVE
labs
and
VSs
-
ANS
-Decreased:
H&H,
serum
and
specific
gravity
VS:
Increased
BP,
increased
RR
Isotonic
solutions
-
ANS
-Replace
fluid
volume
-0.9%
sodium
chloride
(normal
saline)
-Dextrose
5%
in
water
(D5W)---
Isotonic
in
bag,
hypotonic
in
body
-Lactated
ringers
Hypotonic
solutions
-
ANS
-Replacing
water
-0.45%
sodium
chloride
-Dextrose
5%
in
water
(D5W)---
Isotonic
in
bag,
hypotonic
in
body
Hypertonic
solutions
-
ANS
-Decreases
intracellular
swelling
-Treats
severe
hyponatremia
-Caution
in
cardiac
or
renal
disease
-3-5%
sodium
chloride
ADH
-
ANS
-Tells
kidneys
to
retain
water
-Increases
BP
Aldosterone
-
ANS
-Causes
sodium
retention
(water
follows
sodium)
-Increases
BP
RAAS
-
ANS
-Raises
BP
ANP
-
ANS
-Decreases
BP
Normal
K
level
-
ANS
3.5-5.0
Hypokalemia
causes
-
ANS
-GI
loss
-Alkalosis
-Hyperaldosteronism
-Diuresis/diuretics
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